Conversion Therapy in the Southern United States: Prevalence and Experiences of the Survivors

J Homosex. 2022 Mar 21;69(4):612-631. doi: 10.1080/00918369.2020.1840213. Epub 2020 Nov 18.

Abstract

Numerous studies have determined that conversion therapy, a practice meant to change one's sexual orientation to heterosexual or gender identity to cisgender, can be ineffective and severely harmful. However, few studies have documented the prevalence or characteristics of its survivors. This study is a quantitative analysis of the LGBTQ Institute Southern Survey that estimates the prevalence of conversion therapy (specifically SOCE) in the Southern United States and documents its significant association with negative mental health outcomes. Conversion therapy survivors comprised 7.6% of the sample (11.6% after listwise deletion). Respondents who were younger and reported being a gender minority; lesbian, gay, or some other sexual orientation; Hispanic; less educated; and less religious were more likely to have experienced it. Findings support previous studies which report a strong correlation between conversion therapy and poor mental health outcomes. Results regarding the prevalence and demographics of survivors offer new insights for further research.

Keywords: Conversion therapy; LGBTQ youth; gender identity change efforts (GICE); gender nonconformity; mental health; reparative therapy; same-sex attractions; sexual orientation change efforts (SOCE).

MeSH terms

  • Female
  • Gender Identity
  • Homosexuality, Female*
  • Humans
  • Male
  • Prevalence
  • Sexual Behavior
  • Sexual and Gender Minorities*
  • Survivors
  • United States / epidemiology